Provider Demographics
NPI:1346374709
Name:SONODIAGNOSTICS, LLC
Entity type:Organization
Organization Name:SONODIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STILL
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:206-938-7922
Mailing Address - Street 1:5601 32ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2915
Mailing Address - Country:US
Mailing Address - Phone:206-938-7922
Mailing Address - Fax:
Practice Address - Street 1:5601 32ND AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-2915
Practice Address - Country:US
Practice Address - Phone:206-938-7922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8867947Medicare PIN